Anestesia general para cesárea en paciente con paraparesia espástica asociada al virus linfotrópico de las células T humanas tipo 1

• Autores: Calderón, Marjorie Lisseth, Tejada Chacón, Deisy Mirella, Quispe Gómez, María Victoria, Onton Reynaga, Victor Wilfredo
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Instituto Nacional Materno Perinatal
• Repositorio: Revista Peruana de Investigación Materno Perinatal
• Lenguaje: español
• OAI Identifier: oai:investigacionmaternoperinatal.inmp.gob.pe:article/207
• Enlace del recurso: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/207
• Nivel de acceso: acceso abierto
• Materia: Paraparesia espástica; HTLV-1; cesárea; anestesia general; manejo anestésico; Spastic paraparesis; caesarean section; general anesthesia

Introduction: Spastic paraparesis is an infection caused by the human T-cell lymphotropic virus (HTLV-1). It is characterized by slow onset myelopathy that mainly compromises the lower limbs.  It affects women more than men and the main routes of transmission are: blood, sexual and vertical (mainly during breastfeeding). Case presentation: Pregnant, 28 years of age, and 38 weeks of gestation, with a diagnosis of spastic paraparesis associated with HTLV-1; scheduled for the cesarean section; in whom a balanced general anesthetic technique was employed.  Conclusions: Balanced general anesthesia was a reasonable option for the anesthetic management of cesarean section in this patient, providing adequate muscle relaxation during surgery, with minimal hemodynamic changes, as well as a rapid recovery from neuromuscular blockade.